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https://www.readbyqxmd.com/read/29470473/liver-abscess-contemporary-presentation-and-management-in-a-western-population
#1
Kareem Osman, Sanket Srinivasa, Jonathan Koea
AIM: Historically, liver abscesses (LA) affected elderly, immunocompromised patients and were characterised by high morbidity and mortality, however there are no data pertaining to a New Zealand population with little information surrounding recent management trends. METHODS: A retrospective review of demographic characteristics, clinical management and microbiological data on patients presenting with liver abscess between 2005-2014 was conducted. RESULTS: Fifty-seven patients [37 males, median age 64 (range 15-87)] presented with LA and most patients were not comorbid...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29466870/how-reliable-is-the-intraoperative-assessment-of-residual-fragments-during-percutaneous-nephrolithotomy-a-prospective-study
#2
Amihay Nevo, Ronen Holland, Eran Schreter, Ron Gilad, Jack Baniel, Aenov Cohen, David Lifshitz
OBJECTIVES: To determine the accuracy of the surgeon's impression as to the stone free rate at the end of percutaneous nephrolithotomy (PNL), and to evaluate predictors for inaccurate estimation. MATERIALS AND METHODS: A prospective study conducted between 2010 and 2015. Surgeon's impression, categorized as "insignificant Residual fragments (RF)" (<4 mm) or "significant RF" (> 4mm), was recorder at the end of PNL, and was compared with postoperative imaging results, using CT or a combination of US and KUB for radiolucent and radio-opaque stones, respectively...
February 21, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29460885/-percutaneous-drainage-of-liver-abscess-in-case-of-situs-viscerus-inversus
#3
A G Istomin, E G Muravyova, V N Barykov, S S Shestopalov, B Kh Sarsenbaev, V I Kyrchanov
No abstract text is available yet for this article.
2018: Khirurgiia
https://www.readbyqxmd.com/read/29459806/-iatrogenic-lesions-of-the-biliary-tract
#4
Himerón Limaylla-Vega, Emilio Vega-Gonzales
Iatrogenic bile duct injuries (IBDI) represent a serious surgical complication of laparoscopic cholecystectomy (LC). Often it occurs when the bile duct merges with the cystic duct; and they have been ranked by Strasberg and Bismuth, depending on the degree and level of injury. About third of IBDI recognized during LC, to detect bile leakage. No immediate repair is recommended, especially when the lesion is near the confluence or inflammation is associated. The drain should be established to control leakage of bile and prevent biliary peritonitis, before transferring the patient to a specialist in complex hepatobiliary surgery facility...
October 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/29458293/endoscopic-mucosal-resection-of-non-ampullary-sporadic-duodenal-adenomas-a-retrospective-analysis-with-long-term-follow-up
#5
Giorgio Valerii, Andrea Tringali, Rosario Landi, Ivo Boškoski, Pietro Familiari, Alessandra Bizzotto, Vincenzo Perri, Lucio Petruzziello, Guido Costamagna
OBJECTIVE: We investigate the efficiency of endoscopic mucosal resection (EMR) of non-ampullary sporadic duodenal adenomas (NASDA) in a retrospective analysis with long-term follow-up. METHODS: Consecutive patients undergoing EMR of NASDA between May 2002 and December 2016 were retrospectively identified from an electronic database. Endoscopic follow-up was scheduled after 3, 6 and 12 months for the first year, then yearly for up to five years. RESULTS: EMR of 75 NASDA was performed in 68 patients (56% en-bloc, 44% piecemeal)...
February 19, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29452431/endosonography-guided-hepatogastrostomy-post-percutaneous-biliary-drainage-in-collaboration-with-interventional-radiology
#6
Ahmad Hashim, Yen-I Chen, David Valenti, Peter Metrakos, Sheryl White, Alan Barkun, Ali Bessissow
No abstract text is available yet for this article.
February 16, 2018: Endoscopy
https://www.readbyqxmd.com/read/29451169/patient-perception-and-preference-of-eus-guided-drainage-over-percutaneous-drainage-when-endoscopic-transpapillary-biliary-drainage-fails-an-international-multicenter-survey
#7
Kwangwoo Nam, Dong Uk Kim, Tae Hoon Lee, Takuji Iwashita, Yousuke Nakai, Ahmed Bolkhir, Lara Aguilera Castro, Enrique Vazquez-Sequeiros, Carlos de la Serna, Manuel Perez-Miranda, John G Lee, Sang Soo Lee, Dong-Wan Seo, Sung Koo Lee, Myung-Hwan Kim, Do Hyun Park
Background and Objectives: EUS-guided biliary drainage (EUS-BD) is a feasible procedure when ERCP fails, as is percutaneous transhepatic BD (PTBD). However, little is known about patient perception and preference of EUS-BD and PTBD. Patients and Methods: An international multicenter survey was conducted in seven tertiary referral centers. In total, 327 patients, scheduled to undergo ERCP for suspected malignant biliary obstruction, were enrolled in the study. Patients received decision aids with visual representation regarding the techniques, benefits, and adverse events (AEs) of EUS-BD and PTBD...
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29451168/percutaneous-catheter-drainage-followed-by-endoscopic-transluminal-drainage-necrosectomy-for-treatment-of-infected-pancreatic-necrosis-in-early-phase-of-illness
#8
Surinder Singh Rana, Rajesh Gupta, Mandeep Kang, Vishal Sharma, Ravi Sharma, Ujjwal Gorsi, Deepak K Bhasin
Background and Objectives: Infected pancreatic necrosis (IPN) in the early phase is treated with "step up approach" involving initial percutaneous catheter drainage (PCD) followed by necrosectomy. There is a paucity of data on a combined approach of initial PCD followed by endoscopic drainage and necrosectomy. A retrospectively study on safety and efficacy of initial PCD followed by endoscopic transluminal drainage and necrosectomy in IPN. Methods: Retrospective analysis of data of 23 patients with IPN who were treated with a combined approach...
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29444707/percutaneous-transhepatic-vs-endoscopic-retrograde-biliary-drainage-for-suspected-malignant-hilar-obstruction-study-protocol-for-a-randomized-controlled-trial
#9
Firas Al-Kawas, Harry Aslanian, John Baillie, Filip Banovac, Jonathan M Buscaglia, James Buxbaum, Amitabh Chak, Bradford Chong, Gregory A Coté, Peter V Draganov, Kulwinder Dua, Valerie Durkalski, B Joseph Elmunzer, Lydia D Foster, Timothy B Gardner, Brian S Geller, Priya Jamidar, Laith H Jamil, Rajesh N Keswani, Mouen A Khashab, Gabriel D Lang, Ryan Law, David Lichtenstein, Simon K Lo, Sean McCarthy, Silvio Melo, Daniel Mullady, Jose Nieto, J Bayne Selby, Vikesh K Singh, Rebecca L Spitzer, Brian Strife, Paul Tarnaksy, Jason R Taylor, Jeffrey Tokar, Andrew Y Wang, April Williams, Field Willingham, Patrick Yachimski
BACKGROUND: The optimal approach to the drainage of malignant obstruction at the liver hilum remains uncertain. We aim to compare percutaneous transhepatic biliary drainage (PTBD) to endoscopic retrograde cholangiography (ERC) as the first intervention in patients with cholestasis due to suspected malignant hilar obstruction (MHO). METHODS: The INTERCPT trial is a multi-center, comparative effectiveness, randomized, superiority trial of PTBD vs. ERC for decompression of suspected MHO...
February 14, 2018: Trials
https://www.readbyqxmd.com/read/29437060/degenerative-subtalar-joints-complicated-by-medial-plantar-intraneural-cysts-cutting-the-cystic-articular-branch-prevents-recurrence
#10
P Laumonerie, F Lapègue, N Reina, M Tibbo, M Rongières, M Faruch, P Mansat
AIMS: The pathogenesis of intraneural ganglion cysts is controversial. Recent reports in the literature described medial plantar intraneural ganglion cysts (mIGC) with articular branches to subtalar joints. The aim of the current study was to provide further support for the principles underlying the articular theory, and to explain the successes and failures of treatment of mICGs. PATIENTS AND METHODS: Between 2006 and 2017, five patients with five mICGs were retrospectively reviewed...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29431586/drain-failure-in-intra-abdominal-abscesses-associated-with-appendicitis
#11
Christopher B Horn, Adrian A Coleoglou Centeno, Jarot J Guerra, John E Mazuski, Grant V Bochicchio, Isaiah R Turnbull
BACKGROUND: Previous studies have suggested that percutaneous drainage and interval appendectomy is an effective treatment for appendicitis with associated abscess. Few studies to date have analyzed risk factors for failed drain management. We hypothesized that older patients with more co-morbidities would be at higher risk for failing conservative treatment. METHODS: The 2010-2014 editions of the National Inpatient Sample (NIS) were queried for patients with diagnoses of peri-appendiceal abscesses...
February 12, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29430122/incidental-detection-of-perinephric-urinary-leak-on-bone-scintigraphy-in-a-patient-with-urinary-bladder-carcinoma
#12
Shelvin Kumar Vadi, Vaishnavi Dasagrandhi, Anish Bhattacharya, Shrawan Kumar Singh, Bhagwant Rai Mittal
A 71-year-old male patient with urothelial carcinoma of the bladder was referred for 99mTc-methylene diphosphonate bone scintigraphy to assess for skeletal metastasis. While the bone scan showed no abnormal skeletal uptake, tracer activity was detected in the extrarenal region of the left renal fossa on the planar image; single photon emission computed tomography-computed tomography (CT) demonstrated tracer pooling in the perirenal collection. In addition, the CT detected nontracer-avid parenchymal lung nodules and hypodense liver lesions consistent with metastatic disease...
January 2018: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29429259/-clinical-analysis-for-preset-double-j-tube-in-percutaneous-nephrolithotripsy
#13
F D Bai, H F Wu, J M Wen, N Zhang, Y C Zheng, J M Chen, C J Du
Objective: To evaluate the clinical application and effect of preseting Double-J ureteric stent in percutaneous nephrolithotripsy. Method: 74 cases of renal calculi treated with PCNL in our hospital during June 2014 to February 2017 were retrospectively analyzed. Of 74 cases, 54 was male, 20 was female. All cases were aged 27 to 78, the mean age was (49.5±12.3) years old. The diameter of the stone was 20 to 59 mm, and the mean diameter was of (29.4±4.3) mm.Our Surgical methods was first putingFr6 double J tube in abnormal ureteral in advance in lithotomy position, then indwellingthree-way Foley catheter and clipping drainage port, perfusingirrigation port with 3 000 ml saline from 60-80 cm height...
February 6, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29428419/resolution-of-giant-biliary-collection-by-spontaneous-colon-fistulization
#14
M Loreto-Brand, A Fernández-Pérez, R Varela-Ponte, E Varo-Pérez
The treatment of bile collections is divided into: expectant attitude with radiological monitoring of the size and characteristics of the collection, percutaneous drainage guided by imaging tests (US/CT), endoscopic drainage depending on location and accessibility and surgical treatment. The clinical case of a man undergoing a scheduled hepatectomy was observerd, who presented a large asymptomatic subcapsular collection suggestive of bilioma, with progressive increase in size, spontaneously presenting a decrease until its resolution by fistulization to the hepatic angle of the colon confirmed by Radiological findings...
February 7, 2018: Radiología
https://www.readbyqxmd.com/read/29428104/management-of-occluded-self-expanding-biliary-metal-stents-in-malignant-biliary-disease
#15
Simon Nennstiel, Isolde Tschurtschenthaler, Bruno Neu, Hana Algül, Monther Bajbouj, Roland M Schmid, Stefan von Delius, Andreas Weber
BACKGROUND: Occlusion of self-expanding metal stents (SEMS) in malignant biliary obstruction occurs in up to 40% of patients. This study aimed to compare the different techniques to resolve stent occlusion in our collective of patients. METHODS: Patients with malignant biliary obstruction and occlusion of biliary metal stent at a tertiary referral endoscopic center were retrospectively identified between April 1, 1994 and May 31, 2014. The clinical records were further analyzed regarding the characteristics of patients, malignant strictures, SEMS, management strategies, stent patency, subsequent interventions, survival time and case charges...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29428040/evaluation-of-the-safety-and-efficacy-of-percutaneous-transhepatic-gallbladder-drainage-combined-with-laparoscopic-cholecystectomy-for-treating-acute-complicated-cholecystitis
#16
Baoxing Jia, Kai Liu, Ludong Tan, Zhe Jin, Yu Fu, Yahui Liu
The rate of acute cholecystitis in patients with severe underlying diseases is currently increasing. Several studies have reported percutaneous transhepatic gallbladder drainage (PTGBD) combined with laparoscopic cholecystectomy (LC) as a safe and reliable therapeutic option in such patients. This study aimed to elucidate the optimal time interval between PTGBD and LC. In total, 65 patients with acute complicated cholecystitis from our hospital were divided into two groups, short-term LC (sLC) and postponed LC (pLC) group according to whether the procedure was performed within 5 days of gallbladder drainage or after 5 days, respectively...
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29424011/efficacy-of-the-6-mm-fcsems-during-eus-guided-hepaticogastrostomy-as-a-primary-biliary-drainage-for-the-cases-estimated-difficult-ercp-a-prospective-clinical-study
#17
Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno, Takamichi Kuwahara, Hiromichi Iwaya, Ayako Ito, Naosuke Kuraoka, Shinpei Matsumoto, Petcharee Polmanee, Yasumasa Niwa
BACKGROUND AND AIM: EUS-guided hepaticogastrostomy (EUS-HGS) is performed as an alternative to the percutaneous or surgical approach. Despite high success rates, the adverse events rate is high. Recently, we used 6-mm fully-covered self-expandable metal stents (FCSEMS) to prevent adverse events and allow easy re-intervention. The purposes were to evaluate the safety, feasibility and clinical efficacy. METHODS: A prospective study to confirm the safety of EUS-HGS was carried out in six patients, followed by a trial to evaluate the feasibility and efficacy of EUS-HGS in approximately 12 additional patients...
February 9, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29409165/frequency-of-an-accessory-popliteal-efferent-lymphatic-pathway-in-dogs
#18
Monique N Mayer, Katherine A Sweet, Michael N Patsikas, Sally L Sukut, Cheryl L Waldner
Staging and therapeutic planning for dogs with malignant disease in the popliteal lymph node are based on the expected patterns of lymphatic drainage from the lymph node. The medial iliac lymph nodes are known to receive efferent lymph from the popliteal lymph node; however, an accessory popliteal efferent pathway with direct connection to the sacral lymph nodes has also been less frequently reported. The primary objective of this prospective, anatomic study was to describe the frequency of various patterns of lymphatic drainage of the popliteal lymph node...
February 6, 2018: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/29405161/increased-recognition-of-chryseobacterium-species-as-an-emerging-cause-of-nosocomial-urinary-tract-infection-following-introduction-of-matrix-assisted-laser-desorption-ionisation-time-of-flight-for-bacterial-identification
#19
Harsimran Kaur, Balvinder Mohan, Vinaykumar Hallur, Atul Raj, Madhunarayana Basude, Ravimohan S Mavuduru, Neelam Taneja
Chryseobacterium species are rarely reported as aetiological agents of nosocomial urinary tract infection. Here, we evaluated the clinical significance of 19 isolates of Chryseobacterium species (15 Chryseobacterium indologenes and 4 Chryseobacterium gleum; identified by matrix-assisted laser desorption/ionisation-time of flight [MALDI-TOF]) obtained from urine or percutaneous nephrostomy drainage of 16 patients with urological complaints. The strains possessed drug resistance to multiple antibiotics. 14 isolates showed the presence of carbapenemases...
October 2017: Indian Journal of Medical Microbiology
https://www.readbyqxmd.com/read/29404986/predictors-of-short-term-readmission-after-pancreaticoduodenectomy
#20
Rajesh Ramanathan, Travis Mason, Luke G Wolfe, Brian J Kaplan
BACKGROUND: Readmissions are a common complication after pancreaticoduodenectomy and are increasingly being used as a performance metric affecting quality assessment, public reporting, and reimbursement. This study aims to identify general and pancreatectomy-specific factors contributing to 30-day readmission after pancreaticoduodenectomy, and determine the additive value of incorporating pancreatectomy-specific factors into a large national dataset. METHODS: Prospective American College of Surgeons-National Surgical Quality Improvement Project (ACS-NSQIP) data were retrospectively analyzed for patients who underwent pancreaticoduodenectomy (PD) between 2011 and 2015...
February 5, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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